Organization Active NPI

Patricia Galos, OD PC

  • Optometrist
  • Jasper, TX
National Provider Identifier
1376827675
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7297TG Issued in TX
Legal business name
PATRICIA GALOS, OD PC
Practice address
802 W Gibson St
Jasper, TX 75951-4914
Phone
(505) 280-0258
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Galos, OD
Title
Optometrist
Phone
(505) 280-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7297TG TX Primary

Addresses

Primary practice location

802 W Gibson St
Jasper, TX 75951-4914

Mailing address

802 W Gibson St
Jasper, TX 75951-4914

National Provider Directory

National Provider Directory

Locations

802 W Gibson St
Jasper, TX 75951
Phone (409) 381-8100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1376827675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514914",
            "telephone_number": "505-280-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA GALOS, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "GALOS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-280-0258",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7297TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.